Can People with Favism Eat Peas or Fava Beans? - Family Medicine

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Regarding Favism?


Hello, doctor: I have favism.
Since I was young, my family has told me not to eat fava beans, but the packaging of fava bean snacks states that they are made from split peas.
Can I eat fava bean snacks with my condition?

Xin, 20~29 year old female. Ask Date: 2015/03/31

Dr. Liao Yaopan reply Family Medicine


Hello, G6PD deficiency, also known as favism, is a hereditary condition primarily related to abnormal glucose metabolism in red blood cells.
When exposed to oxidative substances, such as fava beans, certain medications like nitrofurantoin, and dyes like methylene blue, as well as sulfonamides, it can trigger hemolytic anemia.
It is particularly important to be cautious with fava beans.
Thank you for your inquiry, and Changhua Hospital is concerned about your health.

Reply Date: 2015/03/31

More Info


Favism, or G6PD deficiency, is a genetic condition that affects the red blood cells and can lead to hemolytic anemia when individuals consume certain foods or medications. People with this condition are particularly sensitive to fava beans (also known as broad beans) and other legumes, which can trigger a severe reaction.
To address your question regarding the consumption of peas or fava beans, it is crucial to clarify that individuals with favism should avoid fava beans entirely. Fava beans contain compounds that can cause oxidative stress in G6PD-deficient individuals, leading to the destruction of red blood cells. This can result in symptoms such as fatigue, jaundice, dark urine, and shortness of breath.
As for peas, the situation is somewhat different. While peas (Pisum sativum) are not fava beans, they belong to the legume family and may still pose a risk for some individuals with G6PD deficiency. However, the reaction to peas is generally less severe compared to fava beans. That said, it is essential for individuals with favism to consult with their healthcare provider or a registered dietitian before introducing any new foods into their diet, including peas.
Regarding the specific product you mentioned, "可樂果" (which translates to "Kola nuts" or "Pea nuts"), it is important to check the ingredients carefully. If the product contains fava beans or is derived from them, it should be avoided. If it is made from green peas or other legumes that are not fava beans, it may be safe, but again, individual reactions can vary.
In summary, individuals with favism should strictly avoid fava beans and be cautious with other legumes, including peas. It is always best to consult with a healthcare professional for personalized dietary advice, especially when managing a condition like G6PD deficiency.
In addition to dietary considerations, it is also important for individuals with favism to be aware of other potential triggers, such as certain medications (like sulfa drugs and some antibiotics), infections, and even some foods like soy products and certain nuts. Maintaining a well-balanced diet that avoids known triggers is essential for managing this condition effectively.
In conclusion, while fava beans should be completely avoided, peas may be consumed with caution, and it is crucial to consult with a healthcare provider for tailored advice.

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